If you are applying by the OPM Form 1203-FX, leave this section blank.

5. Employment Availability

6. Citizenship

Are you a citizen of the United States?7. Background Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

8. Other Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

9. Languages

If you are applying by the OPM Form 1203-FX, leave this section blank.

10. Lowest Grade

08

11. Miscellaneous Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

12. Special Knowledge

If you are applying by the OPM Form 1203-FX, leave this section blank.

13. Test Location

If you are applying by the OPM Form 1203-FX, leave this section blank.

14. Veteran Preference Claim

15. Dates of Active Duty - Military Service

16. Availability Date

If you are applying by the OPM Form 1203-FX, leave this section blank.

17. Service Computation Date

If you are applying by the OPM Form 1203-FX, leave this section blank.

18. Other Date Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

19. Job Preference

If you are applying by the OPM Form 1203-FX, leave this section blank.

20. Occupational Specialties

001 Maintenance Worker

21. Geographic Availability

450140013 Beaufort, SC

22. Transition Assistance Plan

If you are applying by the OPM Form 1203-FX, leave this section blank.

23. Job Related Experience

If you are applying by the OPM Form 1203-FX, leave this section blank.

24. Personal Background Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

25. Occupational/Assessment Questions:

1. From the descriptions below, select the one response that best describes how your background meets the basic experience requirements for a Maintenance Worker, WG-4749-08 position. Read all of the responses before making your selection. MARK ONLY ONE RESPONSE. If you select more than one response, or leave this question blank, you will be rated ineligible. If you do not meet these minimum qualifications, you will be considered ineligible and will not receive consideration for this position.

The resume or application materials you submit for this announcement must support the answers you claim under this and other questions. If not, you will be found to be ineligible for this position or your score will be lowered.

A. I have experience that demonstrates ability to perform work as a maintenance worker performing less complex (essentially sub journey level) tasks on my own initiative with only general supervision subject to occasional inspection and/or performing more complex tasks work under close supervision of journey or higher graded maintenance workers. This experience must have included maintenance, repair and construction of buildings and facilities, carpentry, electrical, painting, plumbing, roofing, mechanical maintenance, refrigerationB. I do not possess the experience described above.

For questions 2, 3, and 4, your answers should include convictions resulting from a plea of nolo contendere (no contest), but omit: (1) traffic fines of $300 or less, (2) any violation of law committed before your 16th birthday, (3) any violation of law committed before your 18th birthday if finally decided in juvenile court or under a Youth Offender law, (4) any conviction set aside under the Federal Youth Corrections Act or similar state law, and (5) any conviction for which the record was expunged under Federal or state law.

2. During the last 10 years, have you been convicted, been imprisoned, been on probation, or been on parole? (Includes felonies, firearms or explosives violations, misdemeanors, and all other offenses.) If "YES," use the narrative section to provide the date, explanation of the violation, place of occurrence, and the name and address of the police department or court involved.

A. YesB. No

3. Have you been convicted by a military court-martial in the past 10 years? (If no military service, answer "NO.") If "YES," use the narrative section to provide the date, explanation of the violation, place of occurrence, and the name and address of the military authority or court involved.

A. YesB. No

4. Are you now under charges for any violation of law? If "YES," use the narrative section to provide the date, explanation of the violation, place of occurrence, and the name and address of the police department or court involved.

A. YesB. No

5. During the last 5 years, have you been fired from any job for any reason, did you quit after being told that you would be fired, did you leave any job by mutual agreement because of specific problems, or were you debarred from Federal employment by the Office of Personnel Management or any other Federal agency? If "YES," use the narrative section to provide the date, an explanation of the problem, reason for leaving, and the employer's name and address.

A. YesB. No

6. Are you delinquent on any Federal debt? (Includes delinquencies arising from Federal taxes, loans, overpayment of benefits, and other debts to the U.S. Government, plus defaults of Federally guaranteed or insured loans such as student and home mortgage loans.) If "YES," use the narrative section to provide the type, length, and amount of the delinquency or default, and steps that you are taking to correct the error or repay the debt.

A. YesB. No

7. Do you receive, or have you ever applied for, retirement pay, pension, or other retired pay based on military, Federal civilian, or District of Columbia Government service?

A. YesB. No

Please use this section to provide the required information if you have answered "Yes" to numbers 2, 3, 4, 5, and 6, on the suitability questions. If you have answered "Yes" to the referenced questions, you MUST provide the required information. All of your answers must be truthful and complete. A false statement on any part of your application may be grounds for not hiring you or for firing you after you begin work. Also, you may be punished by a fine or imprisonment (U.S. Code, title 18, section 1001). You may be asked to provide this information at any time.

For each task in the following group, choose the statement from the list below that best describes your experience and/or training. Darken the oval corresponding to that statement in Section 25 of the Qualifications and Availability Form C. Please select only one letter for each item.

A- I know little or nothing about this.B- I have had study or training in this.C- I have used my knowledge or ability, but I have been closely supervised.D- I have used my knowledge or ability on my own, under normal supervision.E- I am consulted by other journeypersons in difficult situations, or I am called on to do unusually difficult jobs.

11. Follow general oral and written instructions that involve making decisions and performing tasks or processes that require remembering directions, sequences, using a controlled, common sense approach in a changing situation, etc.

12. Take measurements and to make computations (adding, subtracting, division and simple fractions).

13. Keep accurate records of the type of work performed, the nature of the materials used, amount of time spent, and written instructions received.

15. Access and use computers for e-mail, basic research, record keeping, or training.

16. Remove old roofing material in preparation for repair.

For each task in the following group, choose the statement from the list below that best describes your experience and/or training. Darken the oval corresponding to that statement in Section 25 of the Qualifications and Availability Form C. Please select only one letter for each item.

A- I know little or nothing about this.B- I have had study or training in this.C- I have used my knowledge or ability, but I have been closely supervised.D- I have used my knowledge or ability on my own, under normal supervision.E- I am consulted by other journeypersons in difficult situations, or I am called on to do unusually difficult jobs.

17. Repair and install roofs; operate an asphalt kettle.

18. Independently plan, layout and complete work such as performing rough carpentry as a portion of an entire job (e.g., rough framing, laying all subflooring in a given structure); to construct, repair and replace basic wooden items such as shelving, doors, simple cabinets, tables, countertops, windows, trim, etc.; to perform finish carpentry work on less complex structures.

19. Perform carpentry work in maintenance, alteration, or repair of historic structures or facilities with wooden or wood substitute items on structures such as windows and door encasement, screens, window glass, interior and exterior trim, staircases, thresholds, cornices, exhibit cases, or panels.

For each task in the following group, choose the statement from the list below that best describes your experience and/or training. Darken the oval corresponding to that statement in Section 25 of the Qualifications and Availability Form C. Please select only one letter for each item.

A- I know little or nothing about this.B- I have had study or training in this.C- I have used my knowledge or ability, but I have been closely supervised.D- I have used my knowledge or ability on my own, under normal supervision.E- I am consulted by other journeypersons in difficult situations, or I am called on to do unusually difficult jobs.

30. Observe all safety requirements, including the use of personal protective equipment.

For each task in the following group, choose the statement from the list below that best describes your experience and/or training. Darken the oval corresponding to that statement in Section 25 of the Qualifications and Availability Form C. Please select only one letter for each item.

A- I know little or nothing about this.B- I have had study or training in this.C- I have used my knowledge or ability, but I have been closely supervised.D- I have used my knowledge or ability on my own, under normal supervision.E- I am consulted by other journeypersons in difficult situations, or I am called on to do unusually difficult jobs.

37. Use and maintain a variety of tools, and equipment associated with the plumbing trade such as tapes, rules, and hacksaws, hand and power pipe threaders and cutters, hand and power snakes, tubing cutters, packing and caulking irons, wrenches, augers, torches, basin wrenches, hand and power saws, etc.

38. Use basic plumbing tools to make repairs to water lines made of copper, PVC, CPVC, iron, and polyethylene or other tubing.

For each task in the following group, choose the statement from the list below that best describes your experience and/or training. Darken the oval corresponding to that statement in Section 25 of the Qualifications and Availability Form C. Please select only one letter for each item.

A- I know little or nothing about this.B- I have had study or training in this.C- I have used my knowledge or ability, but I have been closely supervised.D- I have used my knowledge or ability on my own, under normal supervision.E- I am consulted by other journeypersons in difficult situations, or I am called on to do unusually difficult jobs.

42. Test circuits to see if they are complete after making repairs or installations.

43. Identify and use common electrical materials such as wiring, wire gauge, conduit, switches, receptacles, breakers, panels, or motors.

For each task in the following group, choose the statement from the list below that best describes your experience and/or training. Darken the oval corresponding to that statement in Section 25 of the Qualifications and Availability Form C. Please select only one letter for each item.

A- I know little or nothing about this.B- I have had study or training in this.C- I have used my knowledge or ability, but I have been closely supervised.D- I have used my knowledge or ability on my own, under normal supervision.E- I am consulted by other journeypersons in difficult situations, or I am called on to do unusually difficult jobs.

44. Checks for proper functioning of compressors, chillers, cooling towers and their related control systems.

For each task in the following group, choose the statement from the list below that best describes your experience and/or training. Darken the oval corresponding to that statement in Section 25 of the Qualifications and Availability Form C. Please select only one letter for each item.

A- I know little or nothing about this.B- I have had study or training in this.C- I have used my knowledge or ability, but I have been closely supervised.D- I have used my knowledge or ability on my own, under normal supervision.E- I am consulted by other journeypersons in difficult situations, or I am called on to do unusually difficult jobs.

49. Pick up or haul lumber or other building materials to job sites and clean up and remove excess materials from job sites.

50. Load trucks and secure loads using binders, straps, tarps, etc., for a variety of loads.

51. I certify that my response to this questionnaire and the resume and documents provided in my application are true and accurate to the best of my knowledge. FAILURE TO CERTIFY WILL RENDER YOU INELIGIBLE FOR CONSIDERATION.